Individual provider Active NPI

Adele Bissu, LMSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1699160002
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
097529 Issued in NY
Practice address
4730 Bay Pkwy
Brooklyn, NY 11230-3343
Phone
(917) 957-4369
NPI assigned
Apr 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 097529 NY Primary

Addresses

Primary practice location

4730 Bay Pkwy
Brooklyn, NY 11230-3343

Mailing address

4730 Bay Pkwy
Brooklyn, NY 11230-3343
Phone (917) 957-4369

Other names 1

  • Adele Joy Levy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200207000738 NY Practitioner - Clinical Social Worker 6901232131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pesach Tikvah Hope Development IncGroup PAC ID 2163311564, 44 clinicians

Practice addresses (Care Compare)

926 Bedford Ave
Brooklyn, NY 11205-3913
Phone (718) 875-6900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097529NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pesach Tikvah Hope Development Inc CurrentSince May 8, 2025 Accepting new patients

Locations

926 Bedford Ave
Brooklyn, NY 11205
Phone (718) 865-6900

365 Willoughby Ave
Ste 400
Brooklyn, NY 11205

5309 18th Ave
Brooklyn, NY 11204
Phone (718) 705-5190

18 Middleton St
Brooklyn, NY 11206
Phone (718) 875-6993

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1699160002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303343",
            "telephone_number": "917-957-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112303343",
            "telephone_number": "917-957-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSU",
        "first_name": "ADELE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "097529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADELE",
            "last_name": "LEVY",
            "middle_name": "JOY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.